A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
Explanation & Rationale
A. Early decelerations in the fetal heart rate (FHR) are a normal and expected finding during active labor. They are typically caused by fetal head compression during contractions and mirror the contraction pattern. Early decelerations are not associated with fetal distress and do not require provider notification. B. A fetal heart rate baseline of 170/min is abnormal and should be reported to the provider. Normal FHR baseline ranges from 110 to 160/min. A baseline above 160/min indicates fetal tachycardia, which may be associated with maternal fever, infection (such as chorioamnionitis), fetal hypoxia, or dehydration and requires prompt evaluation. C. Contractions lasting 80 seconds are within acceptable limits. Normal uterine contractions typically last 45–90 seconds. While duration should be monitored, 80 seconds alone is not an abnormal finding requiring immediate provider notification if other parameters are stable. D. A temperature of 37.4°C (99.3°F) is within normal maternal temperature range and does not indicate infection or other complications. Therefore, it does not require reporting to the provider.